Organization
NORTH METRO ORTHOTICS AND PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DEHAVEN (CORPORATE SECRETARY)
(763) 784-6647
Entity
Organization
Contact information
Practice address
10 CENTRAL AVE, OSSEO, MN 55369-1241
(763) 270-0547
(763) 270-0692
Mailing address
8290 UNIVERSITY AVE NE STE 310, FRIDLEY, MN 55432-1852
(763) 784-6647
(763) 784-7747
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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